Maselli, Lisa Renee

Maselli, Lisa Renee is an individual health care provider with primary practice located at 4017 Hwy 17 Bypass , Murrells Inlet SC 29576-2674. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Maselli, Lisa Renee can be contacted via phone (843) 651-6525.

Contact Information

Primary practice address
4017 Hwy 17 Bypass Murrells Inlet SC 29576-2674
Phone: (843) 651-6525
Fax: (843) 357-5035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21792 South Carolina

Profile Details

NPI number 1346212834
LBN Legal business name Maselli, Lisa Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346212834 NPPES
North Carolina MEDICAID 89066TJ
North Carolina MEDICAID 217928

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